A study to assess unmet need for family planning and contraceptive choices among married women of reproductive age in rural Madhya Pradesh (original) (raw)

Unmet needs for family planning and its socio-demographic correlates among women in the reproductive age group in central rural India

International Journal Of Community Medicine And Public Health

Background: Unmet need is the discrepancy between reproductive intentions and birth control practices. If the unmet needs remained neglected it leads to population explosion which is one of the greatest threats to India’s economic, social and political development. A community-based study was carried out in rural areas with the objective to find the prevalence of unmet need for family planning and its socio-demographic determinants among married women of reproductive age.Methods: A community based cross sectional study was conducted between January to June 2019. After calculation of sample size 670 participants were selected by simple random sampling method. Predesign and semi structured Performa was used for data collection. Data was collected and analyse using Epi Info 7.Results: Unmet needs of family planning among the study subject was 31.19% (57.58% for the spacer and 42.42% for limiter). It was significantly higher among the Muslim (66.67%) and Boudh (40.38) religion. It was...

Unmet need for contraception: Community based cross sectional study from rural Wardha.

International Journal of Scientific Research. Vol. 7; Issue 7; July 2018.

Background: Worldwide millions of sexually active women want to avoid pregnancy but not using contraception, these women are defined to have unmet need for contraception. This concept of unmet need points the gap between women’s reproductive intention and their contraceptive behaviour. So this study intended to find out magnitude and determinants of unmet need for contraception among married women of age group of 15-49 years in rural area. Methods: Community based cross sectional study was carried out among 225 currently married women of reproductive age group using simple random sampling. Data was collected using pretested, predesigned questionnaire. Results: Total unmet need for contraception was 14.2% with spacing 10.2% and limiting 4.0%. In bivariate analysis, females having only female child in the family, female without autonomy and female having no discussion with husband regarding contraception had higher odds of unmet need for contraception. In multivariate analysis, adjusting for all the variables, no Knowledge of contraceptive methods, no child in the family, no discussion with husband regarding contraception were significant predictors of unmet need for contraception. Conclusions- Male involvement in family planning is necessary to increase the discussion between husband and wife. Autonomy of women should be address in the form of their involvement in household decision making process; in health related decision and making them enable to spend on their own decision. Key words: Unmet Need, Community Based Cross Sectional Study

Assessment of unmet need for family planning and its determinants in a rural block of Haryana

International Journal of Community Medicine and Public Health, 2018

Unmet need for family planning is a valuable concept that is widely used for advocacy, development of family planning policies, implementation and monitoring of family planning programmes worldwide. Women with unmet need are those who are fecund and sexually active but are not using any method of contraception, and report not wanting any more children or wanting to delay the next child. Once derived, the figure of unmet need for family planning can be broken down into unmet need for spacing (women who want a child after two or more years) and unmet need for limiting (women who want no more children).

Socio-demographic correlates of unmet need for family planning among rural women of Haryana, India

International Journal of Advances in Medicine, 2018

Background: The continuously growing population not only hampers the socio-economic development but the health of mothers and newborns. Progress made in improving social development in addition to strengthening the ongoing family planning programme will contribute towards the future pace of fertility and decline in unmet need. Objective of present study to assess the unmet need for family planning and role of socio-demographic factors among rural women. Methods: The present study was community based cross-sectional study conducted in rural area of Haryana from September 2015 to August 2016 among 500 currently married women (18-49 years). Results: The unmet need for family planning was 19.2% (4.8% spacing and 14.4% limiting). Education, occupation and SES were significantly associated with unmet need for family planning. The commonest reason for not using contraception among those with unmet need was fear of side-effects (37.5%) followed by in-laws disapproval (21.9%). Conclusions: ...

Unmet needs for contraception in married women in a tribal area of India

Malaysian Journal of Public Health Medicine, 2010

Background and Objectives: Unmet need for contraception is the gap between women's reproductive intentions and their contraceptive behavior. This community based interventional study was carried out to determine the unmet needs for contraception, the reasons for this and to assess the impact of interventional measures on acceptance of contraception. Subjects and Methods: This study was conducted in 52 villages in the state of Maharashtra, India, among 363 married women selected by cluster sampling. Data was collected using an interview guide. An intervention was done for the women who had an unmet need and an assessment of the change was done subsequently. Data was analyzed by using SPSS. Results The prevalence of contraceptive usage was 59.2% and the prevalence of unmet need for contraception was 44% (160). The unmet need for spacing births was 53.8%, 38.7% for limiting births and 7.5% women were dissatisfied with the current contraceptive method. The reasons ranged from side e...

Correlates of Use of Family Planning Methods Among Married Women of Reproductive Age Group in Bareilly, India

Background: In India more than 75% of pregnancies are unplanned and a quarter of them are undesired. In spite of availability of many contraceptive techniques, the couple protection rate (41%) continues to be inadequate. Most couples in India do not want to use a contraceptive method on a long-term basis for the fear of side-effects. Hence, unwanted and unplanned pregnancies are quite common. With this background the present study was carried out to assess the pattern of utilization of family planning services provided to married women of reproductive age group in Bareilly. Materials and methods: The cross sectional, community based study involved a survey amongst married women of reproductive age group residing in rural and urban areas of Bareilly district. A structured pretested schedule was used. Chi-square test and ANOVA were used to analyze data. Results: A total of 62.9 % females were currently using family planning methods. A higher proportion of them had undergone sterilization (30.5%) and used condoms (28.2%). The most common reason found for not using any method was lack of awareness (18.3%). 28.7% of females had obtained the family planning method at last use from a private institute. Contraceptive use was significantly higher among the females aged 24 years and above, those who were illiterate, parity 3 or more and belonged to joint families. Conclusion: Only 62.9 % females were currently using family planning methods. Awareness programs regarding the use of family planning methods to avoid unwanted pregnancies need to be strengthened.

Unmet need for contraception among married women in an urban area of Puducherry, India

The Indian journal of medical research, 2015

Unmet need for contraception remains a national problem. The study was conducted in an urban area of Puducherry, India, among the eligible couples to assess the unmet need for contraception and to determine the awareness and pattern of use of contraceptives along with the socio-demographic factors associated with the unmet needs for contraception. This cross-sectional study included eligible couples with married women in age group of 15-45 yr as the study population (n=267). Probability proportional to size sampling followed by systematic random sampling was used. A pre-tested questionnaire was administered to collect data from the respondents. Double data entry and validation of data was done. Unmet need for contraception was 27.3 per cent (95% CI: 22.3-33); unmet need for spacing and limiting was 4.9 and 22.5 per cent, respectively. Among those with unmet need (n=73), 50 per cent reported client related factors (lack of knowledge, shyness, etc.); and 37 per cent reported contracep...

Survey on understanding of socio-demographic factors responsible for unmet need of family planning from the selected locality in Agra

International Multidisciplinary Research Journal, 2020

Despite the progress that has been recorded in area of family planning, an increasing number of women reporting the need for the contraceptives tells the urgency of the situation. Data collected from both developing and developed world put forth a whooping number as 120 million women who have reported that they are willing to delay the pregnancy but are not using any method of contraception. According to world health organization (WHO) Unmet need for family planning is defined as the percentage of women of reproductive age, either married or in a union, who have an unmet need for family planning. The concept of unmet need has already been defined through many studies, as it is the percentage of the women who wish to delay the childbirth but are not using any form of contraception. Since reporting of the unmet need of family planning depends upon the desire of the women to report such an issue which is still considered a taboo in Indian families. It is for this reason; unmet need is ...

Perceptions, Couple Motivation to Avoid Pregnancy, Approval of Contraceptives and Reasons of Non Acceptance of Contraception Among Married Women Having Unmet Need of Contraception in a Selected Rural Community, West Bengal

International Journal of Integrative Medical Sciences

Introduction: Unmet need for contraceptionsis the condition in which there is the desire to avoid or postpone child bearing, without the use of any means of contraception. Objectives: This study was carried out to identify Perceptions, couple motivation to avoid pregnancy and reasons of non acceptance of contraception among married women having unmet need of contraception Method: The cross-sectional community based observational study was conducted at Chakberia&Kustia villages of Kalikapursubcentre of Sonarpur block of south 24 Parganas in West Bengal Data were collected by direct interviewing using valid and reliable interview schedule from 100 married women with specific sampling criteria. The collected data were tabulated and statistically analyzed. Results: Out of 100 married women having unmet need of contraception, 58% women had unmet need for limiting and 42% women had unmet need for spacing. 27% and 18% women verbalized as they practicing withdrawal and calendar method, so they didn't use any contraceptives. Most common perceived contraceptive was oral pill. Only 28% women had strong Social familial individual approval for contraceptives; 32% women were moderately to poorly motivated to avoid pregnancy.

Unmet need for family planning in South India

Introduction: Family planning contributes effectively to the social development of a country. This study was carried out to assess the unmet need for contraception among the married women of rural area of Davangere taluk and to determine the factors associated with unmet need for contraception Methods: A community based cross sectional study was conducted among 1020 married women in the reproductive age group 15-49 years of 24 villages in Davangere taluk of Karnataka. They were interviewed using a pre-tested semi-structured questionnaire. Results: The total unmet need was 16.7% with 13.6% for spacing and 3.1% for limiting. The most important reason for unmet need was want of a male child in the future by spouse (63.3%) ignorance (41.6%), and fear of side effect (15.8%). Conclusion: Reducing unmet need is important for helping couples achieve their reproductive goals and for preventing unintended pregnancies that lead to abortion. In order to address the unmet need appropriate counseling for motivation of eligible couples to take up contraception at the earliest is needed.